| NPI | 1396191748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 1238) |
| 101YS0200X Counselor, School (Licence: WV 1238) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |